207. Emergency Department Care of the Menopausal Female

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 16 April 2023

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

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Summary

Emergency Department Care of the Menopausal Female Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLA David Geffen School of Medicine Common things midlife women go to the ED for – irregular bleeding and prolapse Heart attacks present differently in women than in men. How to work up abnormal vaginal bleeding – questions to ask. Do ED docs know how to do a pelvic exam? Indications for a pelvic exam and optimal positioning Recurrent UTIs, and estrogen possibly 1st line rx so something to keep in mind Asymptomatic bacteruria - if doc says you have a UTI but you have no UTI sx, question whether abx indicated, pending the urine culture - change in cognition in elderly human – don’t just treat for a UTI? Elder abuse – what is it – when to suspect it? Cardiac symptoms in perimenopause Heart attacks present differently in women than in men. “Sometimes a doctor’s job is to tell you what it isn’t” – workups that don’t show anything dangerous. How to use a tennis ball to do myofascial release for muscle pain The devastating effects of a hip fracture. www.instagram.com/drpdyne Pelleton: singerpam Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	You are listening to You Are Not Broken, the only podcast that combines science, medicine, and psychology to re-educate your brain and help you live your best love life. And I'm your host, board-certified female urologist, Dr. Kelly Casperson.
0:16.5	Hey, everybody. I'm back today with a good friend, Dr. Pamela Dine, who's all-around physician,
0:21.6	badass, mom, and coach. She's professor of clinical emergency medicine at the UCLA David
0:26.8	Geffen School of Medicine. And she's going to talk today about emergency department care of
0:32.1	the menopausal female. Thank you so much for coming in today. Thanks, Kelly, for having me.
0:36.9	You have totally inspired me on this topic, and I'm just thrilled to be in your presence.
0:42.4	So how did you get, you've been doing emergency care for a long time.
0:45.5	Is this a newer interest of you in specifically the needs of the menopausal female?
0:51.1	Because at this point, you're like writing book chapters, you're giving lectures on it.
0:55.1	Like, tell me about your journey of realizing there were special things we needed to think about
0:59.5	in this area. That's fun. So I'm an emergency medicine physician in an academic medicine space.
1:06.2	And my niche for my academic teaching and writing has always been in the gynecologic emergencies.
1:13.3	And that started out because when I was applying to medical school, I actually thought I was
1:18.4	going to do women's health as a specialty. But I kind of got disillusioned with that.
1:22.4	And mostly because I also like pediatrics and male patients and the whole gamut.
1:26.9	So I chose emergency medicine for my specialty.
1:29.4	But then my patient population, I work at a county hospital in Los Angeles.
1:33.8	And when I was training in the 90s and 2000s, we had so many patients with abnormal uterine
1:41.4	bleeding and early pregnancy-related, that it became a really natural
1:45.1	topic for me because I was both interested in the topic as well as just seeing so much of that.
1:50.5	So I started teaching on that and writing, and that became my niche.
1:54.6	And then as I've gotten older, interestingly, our patient population has kind of changed as well,
	...

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